Compass Primary Care Inc

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN.CNP.14139 Issued in OH

Legal business name

COMPASS PRIMARY CARE INC

Doing business as

Comprehensive Primary Care

Practice address

106 Javit CT
Austintown, OH 44515-2443

Phone

(330) 953-1753

Fax

(330) 953-1758

NPI assigned

May 11, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sasi Kaza

Title

Executive Director

Phone

(330) 953-1753

Specialties & licenses 1

Addresses

Other names 1

• Comprehensive Primary Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jane F Knuppel, MSW, LISW

  • Clinical Social Worker
  • Boardman, OH
  • NPI 1316909393
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1003342064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 JAVIT CT",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152443",
            "telephone_number": "330-953-1753",
            "fax_number": "330-953-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 JAVIT CT",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152443",
            "telephone_number": "330-953-1753",
            "fax_number": "330-953-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "KAZA",
        "authorized_official_first_name": "SASI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-953-1753"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.14139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Clark
• Rachel Ann Clark
• Ricardo Clark, PRS
• Julia Clemente, LPCC
• Community Home Care of Oh
• Comprehensive Behavioral Health Associates
• Comprehensive Behavioral Health Associates, Inc.
• Concerted Care Group Austintown LLC
• Concerted Care Group Austintown LLC
• Concerted Care Group Austintown LLC

• Primary Care Nurse Practitioner in Austintown, OH
• Providers in Austintown, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.